Submission of Application Materials

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Submission of Application Materials 1. Online submission: (recommended) If you wish to submit your application online, please proceed to http://db1x.sinica.edu.tw/tigp/. (If you apply online, please provide us only your transcripts and English proficiency certificate by post mail.) 2. Submission by mail: When submitting your application, please arrange materials in the order listed below and secure with a paper clip. For ease of processing, do not staple, bind, or laminate application materials. All materials and attachments should be on sheets of A4-sized paper. Checklist of Application Materials 1. Application Form 2. Academic Records (Transcripts) and Course Content Information 3. Photocopy of Degree Certificates (Diplomas) 4. Statement of Purpose and Research Plan 5. Three Letters of Recommendation 6. English Proficiency Certificates (TOEFL, IELTS, GEPT, etc.) 7. The Graduate Record Examination (GRE) (if required by the program applied) 8. Thesis/ Paper or Other Scholarly Evidence (if required by the program applied) All materials should be mailed to: TIGP Admissions Office Taiwan International Graduate Program Academia Sinica 128 Academia Road, Section 2, Nankang District, Taipei 11529, Taiwan 8

.. Applicant information (Please type or print in blue or black ink only. Please fill in ALL information accurately and completely.) Personal Information First Name (Given): Middle Name: Last Name (Family): Chinese Name: E-mail: Citizenship: ID Number: ARC Number: Passport Number: (Must be the same as Passport) (Required for Taiwanese applicants) (Required for Taiwanese applicants) Date of Birth: (mm/dd/yyyy) / / Gender: Male Female (As an international student, you will be responsible for getting a passport and the visa required for studying in Taiwan.) Marital Status: Single Married Others Taiwan Telephone: International Telephone: - (###) (####-####) 9 Photo (if applicable)

Permanent Postal Mailing Address: (Please type in Chinese for residents in Taiwan; International applicants should list their home address as the permanent address.) Street City State/Province Zip/Postal Code Country Phone Fax Current Postal Mailing Address: (For delivering admission results. Please leave valid postal address which TIGP can reach you in the following summer.) Street City State/Province Zip/Postal Code Country Phone Fax The same as permanent address Use the above address until Legal guardian or contact person, in case of Emergency Name: Relationship: Address: (mm/dd/yyyy) Telephone: National Defense Service Information (for Taiwanese male students only) Yes No Are you currently serving National Defense Service? (Please provide a letter from your organization.) Are you currently applying for other university? Yes University name Have you ever applied or do you plan to apply for TIGP Summer Internship Program (SIP)? Yes Which Year (yyyy) No Which program did (will) you choose to do the SIP? No 10

Program application: Each applicant may apply for only ONE program from the following nine programs (OR you may apply to two programs from 10~12) in the same year. 1. Chemical Biology and Molecular Biophysics (CBMB) (Please also indicate your preferred department to be registered for CBMB by placing 1, for the first choice, and up to 4, in the boxes) Chemical Biology Dept. of Chemistry (NTU) Dept. of Chemistry (NTHU) Molecular Biophysics Institute of Biochemical Sciences (NTU) College of Life Sciences (NTHU) 2. Molecular and Biological Agricultural Sciences (MBAS) 3. Molecular and Cell Biology (MCB) 4. Bioinformatics (Bio) 5. Molecular Medicine (MM) 6. Earth System Science (ESS) (Please also indicate your preferred area of concentration for ESS program by placing 1, for the first choice, and 2, for second choice, in the boxes next to the department names.) Aquatic sciences Atmospheric Sciences Solid Earth Sciences 7. Biodiversity (Biodiv) Evolution and Genetic Diversity Species Diversity Ecosystem Diversity Environmental Change and Biodiversity 8. Interdisciplinary Neuroscience (INS) 9. Social Networks and Human-Centered Computing (SNHCC) Each applicant may apply to two programs from the following three programs. Please indicate your priority by placing a 1 (and 2 if you wish to apply for two programs) next to the program(s) of your choice. (Please also indicate your order of department preference for each program by placing 1, for first choice, and 2, for second choice, in the boxes next to the department names. Please only indicate 2 choices of department for each program.) 10. Molecular Science and Technology (MST) Dept. of Chemistry Dept. of Physics 11. Nano Science and Technology (Nano) Dept. of Chemistry Dept. of Physics Dept. of Engineering and System Science 12. Sustainable Chemical Science and Technology (SCST) International Ph.D Program of Sustainable Chemical Science and Technology Financial Aid Do you wish to be considered for graduate fellowship at TIGP? Yes No (If you checked yes, no further application is required). (If you checked No, please state that your study will be supported by from to [please indicate period]). How Did You Hear About TIGP? (Multiple Choices) Internet Poster School Embassy TIGP Promotional Visit Journal Ad ( Nature Science Physics Today) TIGP Student Friend or Colleague TIGP SIP Other 11

Educational Background Applicants must have earned a Bachelor s degree and/or a Master s degree by the time they apply for admission to the Taiwan International Graduate Program (TIGP). Please enter the most recently attended institution/department first, and then enter the remaining in reverse chronological order. Please note that only official diploma will be accepted, certificate of enrollment will not be accepted. Education 1:(Required for all columns) Major: Name of Institution: Institution Location: (City, Country) Attendance: / - / (mm/yyyy) Degree: Bachelor Master Doctoral Grade Point of Average obtained will be obtained (mm/yyyy) In which language are the courses conducted? Education 2:(Required for all columns) Major: Name of Institution: Institution Location: (City, Country) Attendance: / - / (mm/yyyy) Degree: Bachelor Master Doctoral Grade Point of Average obtained will be obtained (mm/yyyy) In which language are the courses conducted? Education 3:(Required for all columns) Major: Name of Institution: Institution Location: (City, Country) Attendance: / - / (mm/yyyy) Degree: Bachelor Master Doctoral Grade Point of Average In which language are the courses conducted? obtained 12 will be obtained (mm/yyyy)

Test Score English Proficiency Exemption from the English proficiency requirement: The test of English proficiency can be exempted for applicants graduated from universities where English is the primary language of instruction, if the applicant provides an official certification issued by the Office of Registrar. Applicants whose first or native language is not English are required to take a test of English proficiency as part of the application procedure. One of the following language test scores must be provided for application. Please note that test scores submitted must be taken within the past two years. TEST OF ENGLISH AS A FOREIGN LANGUAGE (TOEFL) Type of test: Internet-based Computer-based Paper-based Date Taken or expected: Score: Speaking Writing Listening Reading Total score TWE Important Note: Please confirm whether you have sent or will send these test scores to TIGP, Academia Sinica (code: 7142) by ETS. Yes, I have / will. No International English Language Testing System (IELTS) Date Taken or expected: Score: General English Proficiency Test(GEPT)-Inter-mediate Date Taken or expected: Score: Speaking Writing Listening Reading Test Result: Pass Fail Graduate Record Examination (GRE) General Test Date Taken or expected: Score 13 Percentile Verbal: % Quantitative: % Analytical Writing: % Important Note: Please confirm whether you have sent or will send these test scores to TIGP, Academia Sinica (code: 7142) by ETS. Yes, I have / will. No Subject Test( if applicable) Subject: Date Taken or expected: Score: Percentile %

Academic Achievement Please list the academic honors, or awards you have ever won. Award 1 Name of Award: Issued by: Award 2 Name of Award: Issued by: Award 3 Name of Award: Issued by: List titles of any articles, publications, patent, or creative work you have completed. Please provide on a separate A4-sized sheet of paper if needed. (Please submit copies of any papers, publications, or other materials that may serve to support your application. Make sure that your name and the program to which you are applying is listed on any such documents. As noted earlier, we cannot return these documents to you.) Publication Topic: Accepted by: Patent Topic: Patent No.: Research Thesis Topic: Advisor: Institution: 14

Work Experience Please list the work experience you have in a reverse chronological order. Work Experience 1 Employer: Institute /Company: Position: Employment Duration: / - / (mm/yyyy) Description of work content Work Experience 2 Employer: Institute /Company: Position: Employment Duration: / - / (mm/yyyy) Description of work content Work Experience 3 Employer: Institute /Company: Position: Employment Duration: / - / (mm/yyyy) Description of work content 15

Recommendation Each set of the enclosed assessment forms should be given to all three of your instructors or individuals familiar with your academic or professional work for assessment propose. The forms should be completely filled out, and returned to the TIGP Admissions Office in a sealed envelope with signature signed across the seal prior to the application deadline. Please list three persons from whom you have requested the letters of recommendation. One of the letters is preferably provided by the applicant's thesis advisor. Referee Information Please Complete the Following for Each Referee First Name: Last Name: Email Address: Mailing Address: Country: Phone: Title/ Position: Institute/Company: Relationship to you: Please Complete the Following for Each Referee First Name: Last Name: Email Address: Mailing Address: Country: Phone: Title/ Position: Institute/Company: Relationship to you: Please Complete the Following for Each Referee First Name: Last Name: Email Address: Mailing Address: Country: Phone: Title/ Position: Institute/Company: Relationship to you: 16

Applicant Verification I, hereby, certify that the above information and statements/materials submitted for the application to the Taiwan International Graduate Program are correct and complete, to the best of my knowledge. Falsification or omission of requested information will be grounded for terminating consideration of the application, or, if after enrollment, for canceling registration privileges. I also agree to publish my information on the website if admitted to the TIGP program. Note: Under the Personal Information Protection Act: Article 8: The following items should be told precisely to the Party by a government agency or non-government agency, in accordance with Article 15 or Article 19: 1. the name of the government agency or the non government agency: Academia Sinica-Taiwan International Graduate Program (TIGP) 2. purpose of collection: 158 Students Data Management (Please see the following link for details: http://mojlaw.moj.gov.tw/lawcontente.aspx?id=fl010631) 3. classification of the personal information: ID, passport number, and etc. (Please see the following link: http://mojlaw.moj.gov.tw/lawcontente.aspx?id=fl010631) 4. time period, area, target and way of the use of personal information: The information will be used only from the current year November until next year September. For those admitted to the TIGP program, it will be used until the date of graduation. 5. rights of the Party and ways to exercise them as prescribed in Article 3; (The following rights should be exercised by the Party with regard to his personal information and should not be waived in advance or limited by a specific agreement: (1). any inquiry and request for a review of the personal information; (2). any request to make duplications of the personal information; (3). any request to supplement or correct the personal information; (4). any request to discontinue collection, processing or use of personal information; and (5). any request to delete the personal information.) 6. the influence on his rights and interests while the Party chooses not to provide his personal information: If you do not agree to the terms and conditions of using your provide information, you may not be able to process your TIGP application. Applicant s Signature Date / / 17

.. Taiwan International Graduate Program Letter of Recommendation (1) To be completed by the applicant: Name of Applicant: Last (Family) First Middle E-mail: Applying for admission to the following program To be completed by the referee: The applicant named above has applied for admission to the Taiwan International Graduate Program and has listed you as a referee. We would appreciate it very much if you could complete this evaluation form and return it to The Admissions Office of Taiwan International Graduate Program before March 31, 2014. 18